Parasitic Twins

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Transcript of Parasitic Twins

A Goddess reincarnate Parasitic Twins Lakshmi: Goddess of wealth, beauty and fortune Monochorionic, monoamniotic twins account for only 1-2% of monozygotic twinning (Lee & Tan 2002). "MoMo" twins are identical twins who share one chorion and one amniotic sac in utero. Of that percentage 4-5% of MoMo twins are conjoined which is about 1 in 2500 pairs of twins. Conjoined twins are always joined at identical anatomical locations. Details Continued Parasitic twins are a more rare form of conjoined twins. They are classified by asymmetric conjunction with one twin being smaller than the other and completely dependent on the the other because of underdevelopment. Purpose: To observe the rare medical anomaly of conjoined parasitic twins and to follow the journey of Lakshmi; a two year old girl in India. Importance To expose the rarity and life threatening condition of parasitic twins. To support coping families and communities To shed light on surgical correction to allow for a full healthy life. Details "Fetus in fetu" Nursing Diagnoses Impaired mobility related to location of attached parasitic twin as evidenced by inability to stand/move on own accord.Risk for impaired skin integrity related to placement of attached parasitic twin.Impaired comfort related to attached parasitic twin as evidenced by grunting/crying with movement and/or touch.Risk for imbalanced nutrition less than body requirements related to parasitic twin "feeding".Chronic pain (pelvic joints) related to placement of parasitic twin as evidenced by hip joint in unusual constant position. References http://hinduism.about.com/od/hindugoddesses/p/lakshmi.htmThe girl with the eight limbs. (2012, 11 16). Retrieved from http://channel.nationalgeographic.com/channel/videos/the-girl-with-eight-limbs/http://multiples.about.com/od/medicalissues/a/MoMoTwins.htmTan, A. A., & Lee, S. L. (2002). Prenatal diagnosis of parasitic twins using three-dimensional ultrasound: a case report. Ultrasound In Obstetrics & Gynecology, 20(2), 192-193. doi:10.1046/j.1469-0705.2002.00740.xhttp://www.ajronline.org/content/179/6/1481/F1.expansion